Insight Vision

Cornea & Ocular Surface Disorder

Cornea and Ocular Surface Disorder



The cornea is a dome-shaped, clear, outermost lens of the eye which covers the anterior chamber, iris, and pupil. It functions as a convex lens & along with the intraocular lens helps to focus light on the retina and forms a clear image. The cornea is responsible for almost 60% of our vision. Corneal disease is a serious condition that can cause clouding, distortion, scarring and eventually blindness.


When to get help right away? If you have:
If it feels like something’s stuck in your eye?

Treatments for progressive keratoconus include:

  • Corneal crosslinking: This procedure, also called corneal collagen cross-linking or CXL, strengthens corneal tissue to halt the bulging of the eye’s surface in keratoconus. Corneal crosslinking may significantly reduce the need for corneal transplants among keratoconus patients. It also is being investigated as a way to treat or prevent complications following LASIK or other vision correction surgery.
  • Corneal transplant / DALK: In some cases of advanced keratoconus, only the anterior surface of the cornea is replaced by a procedure called DALK (Deep Anterior Lamellar Keratoplasty) or in severe cases full thickness cornea transplant, also called a penetrating keratoplasty (PK or PKP)


There are many types of corneal ailments.

  • INJURIES: Small abrasions (scratches) on the cornea usually heal on their own. Deeper scratches or other injuries can cause corneal scarring and vision problems.
  • ALLERGIES: Allergies to pollen can irritate the eyes and cause allergic conjunctivitis (pink eye). This can make your eyes red, itchy, and watery.
  • KERATITIS: Keratitis is inflammation (redness and swelling) of the cornea. Infections could be due to virus, bacterial fungal or contact lenses related too.
  • DRY EYE: Our eyes need tears to stay healthy and comfortable. If your eyes do not produce enough tears, it is called dry eye. Dry eye is also when your eyes do not make the right type of tears or tear film. This can be uncomfortable and may cause vision problems.
  • KERATOCONUS: It is a weakening and thinning of the central cornea. The cornea develops a cone-shaped deformity. Progression can be rapid, gradual, or intermittent.
  • CORNEAL DYSTROPHIES: Corneal dystrophies cause cloudy vision when material builds up on the cornea. These diseases usually run in families.
  • PTERYGIUM: A pterygium is a growth of the conjunctiva or mucous membrane that covers the white part of your eye over the cornea. The cornea is the clear front covering of the eye. This benign or noncancerous growth is often shaped like a wedge. A pterygium usually doesn’t cause problems or require treatment, but it can be removed if it interferes with your vision. 

Dry Eye Symptoms 

Here are some of the symptoms of dry eye. 

  • You feel like your eyes are stinging and burning. 
  • Blurred vision, especially when reading.
  • There is a scratchy or gritty feeling like something is in your eye. 
  • There are strings of mucus in or around your eyes. 
  • Your eyes are red or irritated. This is especially true when you are in the wind or near cigarette smoke. 
  • It is painful to wear contact lenses. 
  • You have lots of tears in your eyes. Having a lot of tears in your eyes with dry eye might sound odd. But your eyes make more tears when they are irritated by dry eye. 

Dry Eye Causes

People tend to make fewer tears as they get older due to hormonal changes. Both men and women can get dry eye. However, it is more common in women—especially those who have gone through menopause.

Here are some other causes of dry eye

  • Prime importance is due to long hours of screen exposure (TV / Laptop / IPAD/ mobile screens)
  • Certain diseases, such as rheumatoid arthritis, Sjögren’s syndrome, thyroid disease, and lupus
  • Blepharitis (when eyelids are swollen or red)
  • Being in smoke, wind or a very dry climate
  • Using contact lenses for a long time
  • Having refractive eye surgery, such as LASIK
  • Entropion (when eyelids turn in); ectropion (eyelids turn outward)

Taking certain medicines, such as

  • Diuretics (water pills) for high blood pressure
  • Beta-blockers, for heart problems or high blood pressure
  • Beta-blockers, for heart problems or high blood pressure
  • Allergy and cold medicines (antihistamines)
  • Sleeping pills
  • Anxiety and antidepressant medicines
  • Heartburn medicines

Tell your ophthalmologist about all the prescription and non-prescription medicines you take.

Discover specialized care for cornea and ocular surface disorder at Insight Vision Eye Care. Trust our experienced team for comprehensive treatment.